Director, Provider Contracting Jobs

Oversee complex provider negotiations and manage relationships to build high-quality, sustainable networks. Drive strategic initiatives that enhance growth, affordability, and member experience while...

Drive strategic provider negotiations and relationships to enhance network quality, affordability, and member experience. Lead cross-functional initiatives to support growth and maintain a competitive...

Transform provider negotiations and relationships to enhance network quality and sustainability. Lead strategic initiatives that drive growth and improve member experience while ensuring compliance an...

Pioneer processes in credentialing and provider data management while leading a technical team. Oversee system updates, compliance, and training initiatives to enhance operational efficiency and suppo...

Drive medical leadership in quality improvement and utilization management, ensuring effective care delivery and cost containment. Collaborate with clinical teams to enhance patient outcomes and suppo...

Unlock the potential of value-based care analytics by leading strategic initiatives, modernizing data infrastructure, and driving innovation across healthcare operations to enhance quality and efficie...

Lead a dynamic sales team to drive growth through innovative strategies and client relationships. Oversee the development of multi-year targets while mentoring staff to enhance performance and achieve...

Shape the future of clinical pharmacy services by overseeing programs that enhance medication safety, support population health, and drive strategic initiatives. Collaborate with leaders to ensure com...

Lead the strategic development and administration of employee benefits programs, ensuring compliance and enhancing employee engagement. Collaborate with HR leadership to optimize benefits offerings an...

Lead the evaluation of outpatient referrals and inpatient admissions for medical necessity, utilizing guidelines and criteria to ensure quality care. Collaborate with providers and mentor UM nurses to...

Drive growth by identifying and securing new business opportunities in risk management and medical education. Collaborate with teams to develop proposals, manage sales pipelines, and ensure alignment...

Lead the charge in overseeing clinical operations across multiple medical offices, ensuring high-quality patient care and efficient resource management while collaborating with physicians and administ...

Lead the charge in establishing a new PMO, driving complex initiatives and leveraging AI tools to enhance project delivery and governance. Collaborate with cross-functional teams to ensure alignment a...

Elevate surgical services by providing strategic leadership, ensuring optimal patient care, regulatory compliance, and operational efficiency while fostering staff development and financial oversight...

Manage clinical oversight and mentorship in a remote role, guiding enterprise-wide medical decisions, reviewing complex cases, and ensuring evidence-based coverage determinations while collaborating a...

Lead the charge in clinical oversight and mentorship, providing strategic support across various departments. Collaborate with teams to ensure evidence-based decision-making and enhance patient care t...

Champion exceptional member experiences by leading operations and care teams. Design scalable systems that ensure consistent quality across all interactions, driving efficiency and accountability in a...

Drive operational excellence by leading care team operations and enhancing member experiences. Build scalable systems and processes to ensure consistent, high-quality interactions across all touchpoin...

Lead a dedicated team of case management professionals to enhance patient care coordination, optimize discharge planning, and ensure compliance with clinical standards while driving organizational goa...

Advance behavioral health services by leading operations, integrating care, and ensuring quality standards. Collaborate with teams to develop strategic plans and manage resources effectively, driving...

Drive strategic growth by managing high-impact relationships with health systems and specialty pharmacies. Lead account management, enhance client satisfaction, and identify opportunities for value ex...

The Executive Director, Market Access will lead the development and scaling of a high-performing team focused on market access strategies for life sciences companies. This role involves defining the a...

Transform enterprise learning strategies to enhance workforce readiness and drive business performance. Collaborate with leaders to design innovative, data-driven learning solutions that foster growth...

Shape the future of learning by leading innovative strategies that enhance workforce readiness and drive business performance. Collaborate with leaders to design scalable learning solutions that empow...

Shape the future of enterprise learning by leading innovative strategies that enhance workforce readiness, drive performance, and foster organizational growth through scalable, data-driven learning so...